OPINION REPORT ON THE SURETY NO.

1.

Name in full

2.

Address

3.

Academic Qualification

4.

Age

5.

Occupation

If employed, please state the name of

employer and since when employed.

6.

Present monthly income / salary

(Attach a Salary certificate, if income

is by way of salary)

7.

Total yearly income from all source

7.A
.

No. of Dependents

8.

Personal Assets

Annexure I

a)

Immovable Property viz. land / :

building flat etc. give details
acquisitions, present value etc.

b)

Investments (Fixed
shares etc. (if any)

c)

Deposits,
:

Life Insurance Policy

:

d)

Other Assets
:

e)

Details of bank accounts, if any

(Name and address of bankers
with the account No. (Current / :
Savings) to be furnished.

9.

Personal Liability, if any

10.

Please indicate whether surety is :

related to the claimants.

11.

Period for which claimants are known

Yes / No

____ years

I confirm that all the statements made by me in this application are true and correct and
have been made by me.
Place :

Date :

Signature
(Surety)

Remarks of the Divisional Manager / Branch Manager :

Date :
Manager

Divisional Manager / Branch

(Format Cir S & P / 09/2003-2004)